State Assistance Programs for SSI Recipients, January 2004

Hawaii

State Supplementation

Mandatory Minimum Supplementation

Administration: Social Security Administration.

Optional State Supplementation

Administration: Social Security Administration.

Effective date: January 1, 1974.

Statutory basis for payment: Hawaii Revised Statutes, section 346-53(C)(1) and (2).

Funding

Administration: State funds.

Assistance: State funds.

Passalong method: Maintaining total expenditures.

Place of application: Social Security Administration field offices.

Scope of coverage: Optional state supplement provided to all SSI recipients, including children, except those who are:

Living independently,
Living in the household of another,
Patients in medical facilities where Medicaid pays more than 50 percent of the cost of care, or
Patients in private medical facilities not certified under Medicaid.

Payment amounts for eligible children in domiciliary care are determined on an individual basis. Recipients in medical facilities who are eligible for federal payments under section 1611(e)(1)(E) of the Social Security Act receive state optional supplementation (Code A payment level) for up to 2 months.

Resource limitations: Federal SSI regulations apply.

Income exclusions: Federal SSI regulations apply.

Recoveries, liens, and assignments: None.

Financial responsibility of relatives: None.

Interim assistance: State participates.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels, January 2004 (in dollars)
Living arrangement	State code	Combined federal and state		State supplementation
Living arrangement	State code	Individual	Couple	Individual	Couple
Living independently	A	a	a	a	a
Foster care home	B	1,085.90	2,171.80	521.90	1,325.80
Domiciliary care facility, Level I	H	1,085.90	2,171.80	521.90	1,325.80
Domiciliary care facility, Level II	I	1,193.90	2,387.80	629.90	1,541.80
a. Supplementation in this living arrangement has been discontinued.
DEFINITIONS: A: Living independently Includes recipients living in their own households, in halfway houses (i.e., private nonmedical facilities with which the state has purchase or services agreements for the short-term care of certain needy individuals), or in private medical facilities certified under SSI but where SSI does not pay more than 50 percent of the cost of care. Includes recipients in medical facilities who are in a federal Code A living arrangement on the basis of their eligibility under section 1611(e)(1)(E) of the Social Security Act. Also includes blind or disabled children under age 18 living in their parents' household. B: Foster care home Includes recipients who are certified by the state as residents of a foster care home. H and I: Domiciliary care facility Includes recipients (including children) living in a private, nonmedical facility (established and maintained for the purpose of providing personal care and services to aged, infirm, or handicapped persons) and certified by the state. Level I is licensed by the state for fewer than six residents, and Level II is licensed for six or more residents.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2004
Living arrangement	State code	Total	Aged	Blind	Disabled
Living arrangement	State code	Total	Aged	Blind	Adults	Children
All recipients		2,390	610	20	1,710	50
Living independently	A	a	a	a	a	a
Foster care home	B	430	240	10	180	0
Domiciliary care facility, Level I	H	1,900	340	10	1,500	50
Domiciliary care facility, Level II	I	60	30	0	30	0
a. Supplementation in this living arrangement has been discontinued.

State Assistance for Special Needs

Administration

State Department of Human Services.

Special Needs Circumstances

Housing and utility deposit: One-time payment made to SSI recipients with total monthly income under $418.

Repair or replacement of stove or refrigerator: Payments made to SSI recipients with total monthly income under $418.

Emergency assistance due to natural disaster: Payments made to SSI recipients with total monthly income under $418.

Special care payments: Payments of $100 monthly are provided to SSI recipients residing in domiciliary care home who have been certified for an intermediate care facility (ICF) or skilled nursing facility but have not been placed in one because of a lack of bed space. In addition to meeting other requirements, these recipients must be wheelchair bound, incontinent, or in need of non-oral medication.

Medicaid

Eligibility

Criteria: State guidelines.

Determined by: State.

Medically Needy Program

State provides a program for the aged, blind, and disabled medically needy.

Unpaid Medical Expenses

The Social Security Administration does not obtain this information.